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CURRICULUM, INSTRUCTION, AND PEDAGOGY article

Front. Public Health

Sec. Public Health Education and Promotion

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1677824

Enhancing healthcare leadership in Gujarat, India: An effectiveness study

Provisionally accepted
  • 1Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, India
  • 2State Health System Resource Center, Gujarat, Gandhinagar, India

The final, formatted version of the article will be published soon.

Background: The state government of Gujarat, India, recognized the need for a systematic leadership enhancement program in 2022 for mid-and senior-level government technical health officials to address complex health system challenges. The Health Leadership Enhancement Program (HLEP) was designed and implemented using the LEADS framework for approximately 150 Public Health and Healthcare leaders in Gujarat, in three cycles, to meet this demand. Methods: This paper aims to assess the effectiveness of the Healthcare Leadership Enhancement Program using Kirkpatrick's four-level framework. We evaluated the program's effectiveness through the four levels: Reaction, Learning, Behavior, and Results. Results: Over 97% of participants reported having significantly positive reactions to the program's content and its relevance to their leadership roles. Most participants reported the highest learning under self-awareness and people management. The participants' subordinates perceived a behavioral shift in the leadership approaches of their leaders. System-level changes were at the level of local work sites rather than at the broad policy level. The participants rated case studies, mentoring, and practice-based assignments as favorable methods under program pedagogy. Conclusion: Leadership enhancement programs designed to match work contexts and experiential pedagogy have the potential to enhance individual self-awareness and team management. Real-world case studies, mentoring, and practice-based assignments accompanied by classroom learning seem to be the better pedagogy.

Keywords: healthcare, Leadership program, effectiveness, Kirkpatrick framework, Evaluation

Received: 01 Aug 2025; Accepted: 19 Sep 2025.

Copyright: © 2025 Panchamia, Chavda, Sharma, Kadri and Iyer. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Jallavi Panchamia, jpanchamia@iiphg.org

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.